{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:06:02Z","timestamp":1753891562531,"version":"3.41.2"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T00:00:00Z","timestamp":1675814400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Cat-scratch disease (CSD) is an infectious disease caused by <jats:italic>Bartonella henselae<\/jats:italic>. The most typical symptom of patients with CSD is regional lymphadenopathy, while central nervous system lesions related to CSD are rare. Here, we present a case of an aged woman with CSD involving the dura mater with a manifestation similar to that of an atypical meningioma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The patient was followed up by our neurosurgery and radiology teams. Clinical information was recorded, and the pre- and post-operation CT results and magnetic resonance imaging (MRI) changes were collected. The paraffin-embedded tissue was sampled for the polymerase chain reaction (PCR) test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In this study, we present the details of a 54 year-old Chinese woman admitted to our hospital with a paroxysmal headache for 2 years that had worsened in the past 3 months. Brain CT and MRI showed a meningioma-like lesion below the occipital plate. En bloc resection of the sinus junction area was performed. A pathological examination showed granulation tissue and fibrosis with acute and chronic inflammation, granuloma, and central stellate microabscess, which was suspected as the cat-scratch disease. The paraffin-embedded tissue was sampled for a polymerase chain reaction (PCR) test to amplify the corresponding pathogen gene sequence, which was <jats:italic>Bartonella henselae<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The case in our study underscores the fact that the incubation period of CSD may be very long. On the contrary, CSD can involve the meninges, resulting in tumor-like lesions.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fneur.2023.1080331","type":"journal-article","created":{"date-parts":[[2023,2,8]],"date-time":"2023-02-08T06:03:28Z","timestamp":1675836208000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Case report: Intracranial lesions of cat-scratch disease mimicking an atypical meningioma"],"prefix":"10.3389","volume":"14","author":[{"given":"Qiang","family":"Fang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pengju","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanshan","family":"Qin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shangxin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingzhen","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,2,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1558","DOI":"10.1016\/j.jiac.2022.07.013","article-title":"Clinical utility of whole body diffusion-weighted imaging in an immunocompetent adult with atypical cat scratch disease","volume":"28","author":"Kagatani","year":"2022","journal-title":"J Infect Chemother."},{"key":"B2","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1128\/CMR.10.2.203","article-title":"Bartonella spp. as emerging human pathogens.","volume":"10","author":"Anderson","year":"1997","journal-title":"Clin Microbiol Rev."},{"key":"B3","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1086\/432934","article-title":"Cat-scratch disease in elderly patients","volume":"41","author":"Ben-Ami","year":"2005","journal-title":"Clin Infect Dis."},{"key":"B4","doi-asserted-by":"publisher","first-page":"876","DOI":"10.1212\/WNL.49.3.876","article-title":"Cat-scratch encephalopathy","volume":"49","author":"Wheeler","year":"1997","journal-title":"Neurology."},{"key":"B5","doi-asserted-by":"publisher","first-page":"714","DOI":"10.1542\/peds.77.5.714","article-title":"Central nervous system involvement in cat scratch disease","volume":"77","author":"Lewis","year":"1986","journal-title":"Pediatrics."},{"key":"B6","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1001\/archpedi.1991.02160010104026","article-title":"Cat-scratch disease. 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